S1-Leitlinie ?Adenoide Vegetationen/Rachenmandelhyperplasie-
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  • 作者:T. Wilhelm (1) thomas.wilhelm@helios-kliniken.de
    G. Hilger (2)
    K. Begall (3)
    J. Lautermann (4)
    O. Kaschke (5)
    P. Mir-Salim (6)
    T. Zahnert (7)
  • 关键词:Adenoids – Symptoms – Pathophysiology – Adenoidectomy – Guideline
  • 刊名:HNO
  • 出版年:2012
  • 出版时间:August 2012
  • 年:2012
  • 卷:60
  • 期:8
  • 页码:746-752
  • 全文大小:658.8 KB
  • 参考文献:1. Die Beurteilung der Evidenzlevel der einzelnen Studien richtet sich nach: ?Das Deutsche Cochrane Zentrum – Von der Evidenz zur Empfehlung (Klassifikationssysteme)“, http://www.cochrane.de
    2. Asaf T, Reuveni H, Yermiahu T et al (2001) The need for routine pre-operative coagulation screening tests (prothrombin time PT/partial thromboplastin time PTT) for healthy children undergoing elective tonsillectomy and/or adenoidectomy. Int J Pediatr Otorhinolaryngol 61(3):217–222 (EBM RATING: IIb)
    3. Basha S, Bialowas C, Ende K, Szeremeta W (2005) Effectiveness of adenotonsillectomy in the resolution of nocturnal enuresis secondary to obstructive sleep apnea. Laryngoscope 115(6):1101–1103 (EBM RATING: IIa)
    4. Lautermann J, Begall K, Hilger G et al (2011) Leitlinie Sero-/Mukotympanon der Deutschen Gesellschaft für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie. AWMF, http://www.awmf.org/uploads/tx_szleitlinien/017–004l_S1_Seromukotympanum_2011–04.pdf. Zugegriffen: 13 Jan. 2012 (EBM RATING: IV)
    5. Bonuck K, Parikh S, Bassila M (2006) Growth failure and sleep disordered breathing: a review of the literature. Int J Pediatr Otorhinolaryngol 70(5):769–778 (EBM RATING: III)
    6. Brietzke SE, Brigger MT (2008) Adenoidectomy outcomes in pediatric rhinosinusitis: a meta-analysis. Int J Pediatr Otorhinolaryngol 72(10):1541–1545 (EBM RATING: IIa)
    7. Brietzke SE, Gallagher D (2006) The effectiveness of tonsillectomy and adenoidectomy in the treatment of pediatric obstructive sleep apnea/hypopnea syndrome: a meta-analysis. Otolaryngol Head Neck Surg 134(6):979–984 (EBM RATING: IIa)
    8. Capper JR, Randall C (1984) Post-operative haemorrhage in tonsillectomy and adenoidectomy in children. J Laryngol Otol 98(4):363–365 (EBM RATING: III)
    9. Clemens J, McMurray JS, Willging JP (1998) Electrocautery versus curette adenoidectomy: comparison of postoperative results. Int J Pediatr Otorhinolaryngol 43(2):115–122 (EBM RATING: Ib)
    10. Cook PR, Herr TM, Highfill G (1998) Diagnosing and treating pediatric allergy. Otolaryngol Head Neck Surg 118(3):350–355 (EBM RATING: IIb)
    11. Crysdale WS, Russel D (1986) Complications of tonsillectomy and adenoidectomy in 9409 children observed overnight. CMAJ 135(10):1139–1149 (EBM RATING: IIb)
    12. Darrow DH, Siemens C (2002) Indications for tonsillectomy and adenoidectomy. Laryngoscope 112(8 Pt 2 Suppl 100):6–10 (EBM RATING: Ia)
    13. Dohar JE, Bonilla JA (1996) Processing of adenoid and tonsil specimens in children: a national survey of standard practices and a five-year review of the experience at the Children’s Hospital of Pittsburgh. Otolaryngol Head Neck Surg 115(1):94–97 (EBM RATING: III)
    14. Dost P (2007) Histologie nach Adeno-Tonsillektomie? In Deutschland kein einheitliches Vorgehen bei Patienten bis zum Alter von 10 Jahren. HNO 55(2):100–103 (EBM RATING: IV)
    15. Drake-Lee A, Weiner G (1997) Suitability of children for ENT day case procedures. Clin Otolaryngol Allied Sci 22(3):215–218 (EBM RATING: IIa)
    16. Erler T, Paditz E (2004) Obstructive sleep apnea syndrome in children: a state-of-the-art review. Treat Respir Med 3(2):107–122 (EBM RATING: Ia)
    17. Esposito E, Pucci V, Mesolella M, Motta S (1992) L’adenotonsillectomia: valutazione dei risultati a distanza di oltre 7 anni dall’intervento. Acta Otorhinolaryngol Ital 12(6):593–604 (EBM RATING: IIa)
    18. Gates GA (1994) Adenoidectomy for otitis media with effusion. Ann Otol Rhinol Laryngol 163(Suppl):54–58 (EBM RATING: IV)
    19. Gozal D (1998) Sleep-disordered breathing and school performance in children. Pediatrics 102(3 Pt 1):616–620 (EBM RATING: III)
    20. H?rmann K (2006) Gemeinsame Stellungnahme zur Notwendigkeit pr?operativer Gerinnungsdiagnostik vor Tonsillektomie und Adenotomie bei Kindern. Laryngo Rhino Otol 85(8):580–581 (EBM RATING: IV)
    21. Ivanhoe JR, Lefebvre CA, Stockstill JW (2007) Sleep disordered breathing in infants and children: a review of the literature. Pediatr Dent 29(3):193–200 (EBM RATING: III)
    22. Koltai PJ, Chan J, Younes A (2002) Power-assisted adenoidectomy: total and partial resection. Laryngoscope 112(8 Suppl 100):29–31 (EBM RATING: IIb)
    23. Konno A, Hoshino T, Togawa K (1980) Influence of upper airway obstruction by enlarged tonsils and adenoids upon recurrent infection of the lower airway in childhood. Laryngoscope 90(10 Pt 1):1709–1716 (EBM RATING: IIb)
    24. Le TM, Rovers MM, Staaij BK van et al (2007) Alterations of the oropharyngeal microbial flora after adenotonsillectomy in children: a randomized controlled trial. Arch Otolaryngol Head Neck Surg 133(10):969–972 (EBM RATING: Ib)
    25. Lee WC, Sharp JF (1996) Complications of pediatric tonsillectomy post-discharge. J Laryngol Otol 110(2):136–140 (EBM RATING: IIa)
    26. Lubianca Neto JF, Hemb L, Silva DB (2006) Systematic literature review of modifiable risk factors for recurrent acute otitis media in childhood. J Pediatr (Rio J) 82(2):87–96 (EBM RATING: Ia)
    27. Mangge H, Lang-Loidolt D, Hartmann M, Schauenstein K (1998) Indications and contraindications for tonsillectomy and adenoidectomy. Judgement of immunologic status. Dtsch Med Wochenschr 123(7):195–199 (EBM RATING: IV)
    28. Manolis E, Tsakris A, Kandiloros D et al (1994) Alterations to the oropharyngeal and nasopharyngeal microbial flora of children after tonsillectomy and adenoidectomy. J Laryngol Otol 108(9):763–767 (EBM RATING: IIb)
    29. Miman MC, Kirazli T, Ozyurek R (2000) Doppler echocardiography in adenotonsillar hypertrophy. Int J Pediatr Otorhinolaryngol 54(1):21–26 (EBM RATING: IIb)
    30. Mitchell RB, Kelly J (2005) Quality of life after adenotonsillectomy for SDB in children. Otolaryngol Head Neck Surg 133(4): 569–572 (EBM RATING: IIa)
    31. Netser JC, Robinson RA, Smith RJ, Raab SS (1997) Value-based pathology: a cost-benefit analysis of the examination of routine and nonroutine tonsil and adenoid specimens. Am J Clin Pathol 108(2):158–165 (EBM RATING: III)
    32. Paditz E, Knauth H, Baerthold W (1996) Effect of adenotomy on mental performance of children with adenoid vegetations. Wien Med Wochenschr 146(13–14):327–328 (EBM RATING: IIa)
    33. Paradise JL, Bernard BS, Colborn DK, Janosky JE (1998) Assessment of adenoidal obstruction in children: clinical signs versus roentgenographic findings. Pediatrics 101(6):979–986 (EBM RATING: IIa)
    34. Randall DA, Parker GS, Kennedy KS (1991) Indications for tonsillectomy and adenoidectomy. Am Fam Physician 44(5):1639–1646 (EBM RATING: IV)
    35. Rasmussen N (1987) Complications of tonsillectomy and adenoidectomy. Otolaryngol Clin North Am 20(2):383–390 (EBM RATING: IV)
    36. Rosenfeld RM, Culpepper L, Doyle KJ et al (2004) Clinical practice guideline: Otitis media with effusion. Otolaryngol Head Neck Surg 130(5 Suppl):95–118 (EBM RATING: Ia)
    37. Schloss MD, Tan AK, Schloss B, Tewfik TL (1994) Outpatient tonsillectomy and adenoidectomy: complications and recommendations. Int J Pediatr Otorhinolaryngol 30(2):115–122 (EBM RATING: IIb)
    38. Schwaab M, Hansen S, Gurr A, Dazert S (2008) Stellenwert der Blutabnahme vor Adenotomie. Laryngo Rhino Otol 87(2):100–106 (EBM RATING: IIb)
    39. Shehata EM, Ragab SM, Behiry AB et al (2005) Telescopic-assisted radiofrequency adenoidectomy: a prospective randomized controlled trial. Laryngoscope 115(1):162–166 (EBM RATING: Ib)
    40. Smith E, Wenzel S, Rettinger G, Fischer Y (2008) Lebensqualit?t bei kindlichem obstruktiven Schlafapnoesyndrom nach Tonsillektomie, Tonsillotomie und/oder Adenotomie. Laryngo Rhino Otol 87(7):490–497 (EBM RATING: IIa)
    41. Stanislaw P Jr, Koltai PJ, Feustel PJ (2000) Comparison of power-assisted adenoidectomy vs adenoid curette adenoidectomy. Arch Otolaryngol Head Neck Surg 126(7):845–849 (EBM RATING: Ib)
    42. Stewart MG, Friedman EM, Sulek M et al (2000) Quality of life and health status in pediatric tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg 126(1):45–48 (EBM RATING: IIb)
    43. Tarantino V, D’Agostino R, Melagrana A et al (2004) Safety of electronic molecular resonance adenoidectomy. Int J Pediatr Otorhinolaryngol 68(12):1519–1523 (EBM RATING: Ib)
    44. Tarantino V, Stura M, Vallarono R (1988) Le complicanze post-operatorie dell’adenoidotonsillectomia. Min Ped 40(5):279–292 (EBM RATING: IIb)
    45. Teppo H, Virkkunen H, Revonta M (2006) Topical adrenaline in the control of intraoperative bleeding in adenoidectomy: a randomised, controlled trial. Clin Otolaryngol 31(4):303–309 (EBM RATING: Ib)
    46. Tunkel DE, Hotchkiss KS, Carson KA, Sterni LM (2008) Efficacy of powered intracapsular tonsillectomy and adenoidectomy. Laryngoscope 118(7):1295–1302 (EBM RATING: IIa)
    47. Ungkanont K, Damrongsak S (2004) Effect of adenoidectomy in children with complex problems of rhinosinusitis and associated diseases. Int J Pediatr Otorhinolaryngol 68(4):447–451 (EBM RATING: IIa)
    48. Akker EH van den, Sanders EA, Staaij BK van et al (2006) Long-term effects of pediatric adenotonsillectomy on serum immunoglobulin levels: results of a randomized controlled trial. Ann Allergy Asthma Immunol 97(2):251–256 (EBM RATING: Ib)
    49. Staaji BK van, Akker EH van den, Rovers MM et al (2005) Effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomised controlled trial. Clin Otolaryngol 30(1):60–63 (EBM RATING: Ib)
    50. Wong L, Moxham JP, Ludemann JP (2004) Electrosurgical adenoid ablation. J Otolaryngol 33(2):104–106 (EBM RATING: IIa)
    51. Zhang L, Mendoza-Sassi RA, César JA, Chadha NK (2008) Intranasal corticosteroids for nasal airway obstruction in children with moderate to severe adenoidal hypertrophy. Cochrane Database Syst Rev 16(3):CD00628 (EBM RATING: Ia)
  • 作者单位:1. Chefarzt der Klinik für HNO-Heilkunde, Kopf-/Hals- und plastische Gesichtschirurgie, HELIOS Klinikum Borna, Rudolf-Virchow-Str. 2, 04552 Borna, Deutschland2. Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, KKH Stollberg, Stollberg, Deutschland3. Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, AMEOS Klinikum Halberstadt, Halberstadt, Deutschland4. Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Krankenhaus Martha-Maria, Halle-D?lau, Deutschland5. Abteilung für Hals-Nasen-Ohrenkrankheiten, Plastische Gesichts- und Halschirurgie, Sankt Gertrauden Krankenhaus, Berlin, Deutschland6. Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Vivantes-Klinikum im Friedrichshain, Berlin, Deutschland7. Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Universit?tsklinikum Dresden, Dresden, Deutschland
  • ISSN:1433-0458
文摘
Im Auftrag der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie e. V. wurde in 5 Konsensustreffen unter Einbindung der aktuellen Literatur eine S1-Leitlinie zum Thema ?Adenoide Vegetationen/Rachenmandelhyperplasie“ entwickelt und vom Pr?sidium am 13.04.2011 freigegeben. Anatomie, Pathologie und Pathophysiologie, Symptomatik, Diagnostik und Therapie sowie Verlauf werden dargestellt.

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